Individual provider Active NPI

Christine Kalchthaler, CAGS

  • Psychologist
  • Leesburg, VA
National Provider Identifier
1306274691
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0803000242 Issued in VA
Practice address
15D Loudoun St SW
Leesburg, VA 20175-2908
Phone
(571) 293-1123
NPI assigned
Oct 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0803000242 VA Primary

Addresses

Primary practice location

15D Loudoun St SW
Leesburg, VA 20175-2908

Mailing address

15D Loudoun St SW
Leesburg, VA 20175-2908
Phone (571) 293-1123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0803000242VAMDPsychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382486400000",
    "number": "1306274691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15D LOUDOUN ST SW",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201752908",
            "telephone_number": "571-293-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15D LOUDOUN ST SW",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201752908",
            "telephone_number": "571-293-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALCHTHALER",
        "first_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "CAGS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-23",
        "last_updated": "2013-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0803000242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.